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	<title>Paul Silverman, MFT &#187; Blog</title>
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	<link>http://www.sfcounseling.net</link>
	<description>Psychotherapy and Counseling in San Francisco</description>
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		<title>Practice Update</title>
		<link>http://www.sfcounseling.net/2011/05/18/practice-update/</link>
		<comments>http://www.sfcounseling.net/2011/05/18/practice-update/#comments</comments>
		<pubDate>Wed, 18 May 2011 21:30:36 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Practice]]></category>

		<guid isPermaLink="false">http://www.sfcounseling.net/?p=268</guid>
		<description><![CDATA[I&#8217;m pleased to announce the two San Francisco office locations for my practice: FINANCIAL DISTRICT 256 Sutter St., 6th Floor San Francisco, CA 94108 NOE VALLEY 3896 24th St. San Francisco, CA 94114 My website has been rewritten and redesigned &#8212; take a look! If you haven&#8217;t checked out the particulars of my practice lately, [...]]]></description>
			<content:encoded><![CDATA[<p>I&#8217;m pleased to announce the two San Francisco office locations for my practice:</p>
<p>FINANCIAL DISTRICT<br />
256 Sutter St., 6th Floor<br />
San Francisco, CA 94108</p>
<p>NOE VALLEY<br />
3896 24th St.<br />
San Francisco, CA 94114</p>
<p>My website has been rewritten and redesigned &#8212; take a look! If you haven&#8217;t checked out the particulars of my practice lately, take a moment to read about my specialties in:</p>
<ul>
<li><a href="http://www.sfcounseling.net/internet-issues/">Internet Issues and Online Relationships</a></li>
<li><a href="http://www.sfcounseling.net/depression-and-anxiety/">Depression and Anxiety</a></li>
<li><a href="http://www.sfcounseling.net/harm-reduction/">Harm Reduction of Substance Abuse</a></li>
<li><a href="http://www.sfcounseling.net/bereavement-and-grief/">Bereavement and Grief</a></li>
<li><a href="http://www.sfcounseling.net/couples-counseling/">Couples Counseling</a></li>
<li><a href="http://www.sfcounseling.net/online-counseling/">Online Counseling</a></li>
</ul>
<p>Want to discuss anything more about these areas? Drop me a <a href="mailto:paul@sfcounseling.net">line</a>.</p>
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		<title>A Facebook &#8220;Friend&#8221;: What Does That Mean?</title>
		<link>http://www.sfcounseling.net/2010/11/03/a-facebook-friend-what-does-that-mean/</link>
		<comments>http://www.sfcounseling.net/2010/11/03/a-facebook-friend-what-does-that-mean/#comments</comments>
		<pubDate>Wed, 03 Nov 2010 20:01:29 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Online culture]]></category>
		<category><![CDATA[Social Networking]]></category>
		<category><![CDATA[Facebook]]></category>
		<category><![CDATA[friend requests]]></category>

		<guid isPermaLink="false">http://www.sfcounseling.net/blog/?p=250</guid>
		<description><![CDATA[Let me share with you something that happened to me that helps illustrate the way in which &#8220;connectedness&#8221; in social networking can lie in the eye of the beholder. About ten years ago, I was working at the same place as &#8220;Diane,&#8221; and she became a short-term friendly acquaintance. Since that project ended, I hadn&#8217;t [...]]]></description>
			<content:encoded><![CDATA[<p>Let me share with you something that happened to me that helps illustrate the way in which &#8220;connectedness&#8221; in social networking can lie in the eye of the beholder.</p>
<p>About ten years ago, I was working at the same place as &#8220;Diane,&#8221; and she became a short-term friendly acquaintance. Since that project ended, I hadn&#8217;t seen or talked to her for all of those years, though through community connections her name would be mentioned from time to time. And she was a &#8220;friend&#8221; of dozens of my friends on Facebook.</p>
<p>So about a year ago, when I received a Facebook friend request from Diane, I thought, &#8220;Well. I&#8217;m surprised that she remembered me from our brief conversations years ago. But, nice.&#8221; I accepted the friend request. Diane is a fairly consistent poster on Facebook, so I have been kept fairly well informed about events in her professional and family lives, but in this case the &#8220;friending&#8221; did not lead to actual person-to-person communication. We were just in each other&#8217;s networks.</p>
<p>A few weeks ago, I spotted Diane at a public event, caught her eye and greeted her. She looked quizzically at me, gave me an uncertain half-smile, and asked to be reminded of my name and how we knew each other. I refreshed her memory and thought, &#8220;This is odd. <em>You&#8217;re</em> the one who sent <em>me</em> a friend request!&#8221; The rest of our brief exchange was friendly enough, but it left me thinking.</p>
<p>So what happened here?</p>
<p>It looks like Diane and I each had different perceptions of what a &#8220;friend&#8221; means on Facebook. It&#8217;s possible (without presuming to know what she actually thinks) that Diane has adopted the philosophy of &#8220;friends&#8221; as encompassing anyone in your larger network (i.e. many friends in common), or anyone you&#8217;ve ever had an association with, or some other highly-inclusive model that led her to send a friend request to someone of whom she had a vague (or no) memory. My own approach seems different, and has led to a different policy on Facebook friending than Diane has. (Also worth noting in this story is that after I confirmed her friend request, neither one of us sent the email of greeting and catch-up that often happens when Facebook brings us together with someone from our past. What protocol do you follow when you connect with someone from your past?)</p>
<p>It&#8217;s not that one of us is right, and the other wrong. It&#8217;s just that Diane and I have developed different definitions of what it means to be a Facebook &#8220;friend,&#8221; leading to different online social behavior.</p>
<p>What&#8217;s yours? Has it led to confusion when someone else in (or out of) your social network takes a different approach?</p>
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		<title>Presentation: Counseling Internet and Online Issues</title>
		<link>http://www.sfcounseling.net/2010/09/10/presentation-counseling-internet-and-online-issues/</link>
		<comments>http://www.sfcounseling.net/2010/09/10/presentation-counseling-internet-and-online-issues/#comments</comments>
		<pubDate>Fri, 10 Sep 2010 16:20:38 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[General Online Communication]]></category>
		<category><![CDATA[Mental Health]]></category>
		<category><![CDATA[Online culture]]></category>
		<category><![CDATA[Public Events]]></category>
		<category><![CDATA[internet]]></category>
		<category><![CDATA[presentation]]></category>

		<guid isPermaLink="false">http://www.sfcounseling.net/blog/?p=247</guid>
		<description><![CDATA[I&#8217;m presenting a program on &#8220;Counseling Internet and Online Issues&#8221; at the 2nd Virtual Conference on Counseling &#8212; in Second Life! I&#8217;ll be talking about historical context, basic psychological features of cyberspace, and applicable examples of situations. It&#8217;s next Wednesday, 9/15, at 3 pm Pacific/6 pm Eastern, at the Counselor Education in Second Life center SLURL [...]]]></description>
			<content:encoded><![CDATA[<div><span style="font-family: Arial;">I&#8217;m presenting a program on &#8220;Counseling Internet and Online Issues&#8221; at the <a href="http://sl.counseloreducation.org/2010Conference/2010conference.html">2nd Virtual Conference on Counseling</a> &#8212; in Second Life!</span></div>
<div><span style="font-family: Arial;"><br />
</span></div>
<div><span style="font-family: Arial;">I&#8217;ll be talking about historical context, basic psychological features of cyberspace, and applicable examples of situations.</span></div>
<div><span style="font-family: Arial;"><br />
</span></div>
<div><span style="font-family: Arial;">It&#8217;s next Wednesday, 9/15, at 3 pm Pacific/6 pm Eastern, at the Counselor Education in Second Life center SLURL Port Dervon 44, 65, 26. </span></div>
<div><span style="font-family: Arial;"><br />
</span></div>
<div><span style="font-family: Arial;">It&#8217;s free. Please stop by!</span></div>
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		<title>Recap: LIFE 2.0 Film Panel</title>
		<link>http://www.sfcounseling.net/2010/05/16/recap-life-2-0-film-panel/</link>
		<comments>http://www.sfcounseling.net/2010/05/16/recap-life-2-0-film-panel/#comments</comments>
		<pubDate>Sun, 16 May 2010 20:51:16 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Gaming]]></category>
		<category><![CDATA[Online culture]]></category>
		<category><![CDATA[Public Events]]></category>
		<category><![CDATA[Reading List]]></category>
		<category><![CDATA[Virtual worlds]]></category>
		<category><![CDATA[second life; addiction; online gaming]]></category>

		<guid isPermaLink="false">http://www.sfcounseling.net/blog/?p=239</guid>
		<description><![CDATA[I spoke on the panel &#8220;Logging Off: Are Online Games Addictive?&#8221; at the San Francisco International Film Festival. As it turned out, the group conversation served a dual purpose. It was an adjunct to a screening of the film Life 2.0, which portrays various inhabitants of Second Life, but it also opened up a larger [...]]]></description>
			<content:encoded><![CDATA[<p>I spoke on the panel &#8220;Logging Off: Are Online Games Addictive?&#8221; at the <a href="http://fest10.sffs.org/">San Francisco International Film Festival</a>. As it turned out, the group conversation served a dual purpose. It was an adjunct to a screening of the film <a href="http://life2movie.com/">Life 2.0</a>, which portrays various inhabitants of Second Life, but it also opened up a larger conversation about online experiences, the nature of addiction, and when and how we might decide that our online behavior is &#8220;a problem.&#8221;</p>
<p><span id="more-239"></span>The panel consisted of the director of the film, two of the film&#8217;s subjects , two senior staff members of Linden Lab, and myself as a psychotherapist who works with both online relationships and substance use behaviors. Noted online journalist <a href="http://nwn.blogs.com/">Wagner James Au</a> moderated.</p>
<p>Behind us, on a wall-sized screen, we could see the and read the comments of residents of Second Life who had gathered to participate in the conversation. In fact, one of the film&#8217;s subjects attended in the form of her Second Life avatar.</p>
<p>There was a fascinating split in audience orientation: those attending in-person (at least those who spoke up) seemed by and large oriented to the popularly-understood addiction model, and applied it readily to online experience. Those participating from Second Life, the chat log shows, largely rejected the idea of being &#8220;addicted&#8221; to online life.</p>
<p>I presented the notion that it&#8217;s not helpful to say that any activity simply Is Addictive or Isn&#8217;t Addictive, because that&#8217;s too simplistic; it implies that any given behavior (online activity; consumption of alcohol; shopping; exercise) is All Good or All Bad. We know from real life that anything, including online gaming, can provide both benefits and possible consequences, and it&#8217;s important to take both into account when deciding whether you have a situation you want to change.</p>
<p>In talking about virtual worlds particularly, I described Second Life as a &#8220;playground of personality,&#8221; where you get to find out what it would be like to live life in some radically different way than you do offline. What would it be like to have a different appearance? A different sex? A different age? A different species? The one we all enjoy, right at the start of 2L: What would it be like to fly? This means of shaping your own identity in 2L can offer enormously gratifying personal and interpersonal benefits which have to be measured against the possible harm that sometimes occurs, so that you can make an informed and empowering decision about whether and how you want to change your online life.</p>
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		<title>LIFE 2.0 Film Panel: Is Online Gaming Addictive?</title>
		<link>http://www.sfcounseling.net/2010/04/25/life-2-0-film-panel-is-online-gaming-addictive/</link>
		<comments>http://www.sfcounseling.net/2010/04/25/life-2-0-film-panel-is-online-gaming-addictive/#comments</comments>
		<pubDate>Sun, 25 Apr 2010 20:27:30 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Gaming]]></category>
		<category><![CDATA[Online culture]]></category>
		<category><![CDATA[Public Events]]></category>
		<category><![CDATA[Reading List]]></category>
		<category><![CDATA[Virtual worlds]]></category>
		<category><![CDATA[Film]]></category>
		<category><![CDATA[Public Speaking]]></category>
		<category><![CDATA[Second Life]]></category>

		<guid isPermaLink="false">http://www.sfcounseling.net/blog/?p=230</guid>
		<description><![CDATA[I&#8217;ll be appearing on a panel at the San Francisco International Film Festival entitled &#8220;Logging Off: Is Online Gaming Addictive?&#8221; as an adjunct to their screening of a documentary about Second Life entitled Life 2.0: Sunday, May 2 Film: 1:00 pm Panel: 3:00 pm Sundance Kabuki Cinema 1881 Post Street San Francisco, CA 94115 Tickets [...]]]></description>
			<content:encoded><![CDATA[<p>I&#8217;ll be appearing on a panel at the San Francisco International Film Festival entitled &#8220;Logging Off: Is Online Gaming Addictive?&#8221; as an adjunct to their screening of a documentary about Second Life entitled <a href="http://life2movie.com/"><em>Life 2.0</em></a>:</p>
<p><object classid="clsid:d27cdb6e-ae6d-11cf-96b8-444553540000" width="445" height="364" codebase="http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0"><param name="allowFullScreen" value="true" /><param name="allowscriptaccess" value="always" /><param name="src" value="http://www.youtube-nocookie.com/v/apyMFeRgjws&amp;hl=en_US&amp;fs=1&amp;rel=0&amp;border=1" /><param name="allowfullscreen" value="true" /><embed type="application/x-shockwave-flash" width="445" height="364" src="http://www.youtube-nocookie.com/v/apyMFeRgjws&amp;hl=en_US&amp;fs=1&amp;rel=0&amp;border=1" allowscriptaccess="always" allowfullscreen="true"></embed></object></p>
<p>Sunday, May 2<br />
Film: 1:00 pm<br />
Panel: 3:00 pm<br />
Sundance Kabuki Cinema<br />
1881 Post Street<br />
San Francisco, CA 94115</p>
<p>Tickets to the panel are free, but require a reservation. Stop by and join the conversation!</p>
<p><a href="http://fest10.sffs.org/films/film_details.php?id=45"><em>Life 2.0</em> at the San Francisco International Film Festival</a></p>
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		<title>Opening Up Online</title>
		<link>http://www.sfcounseling.net/2010/04/04/opening-up-online/</link>
		<comments>http://www.sfcounseling.net/2010/04/04/opening-up-online/#comments</comments>
		<pubDate>Sun, 04 Apr 2010 19:07:40 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[General Online Communication]]></category>
		<category><![CDATA[Trust/Privacy]]></category>
		<category><![CDATA[Uncategorized]]></category>
		<category><![CDATA[online disinhibition]]></category>
		<category><![CDATA[relationships]]></category>
		<category><![CDATA[trust]]></category>

		<guid isPermaLink="false">http://www.sfcounseling.net/blog/?p=224</guid>
		<description><![CDATA[A recent study by two psychologists from the University of Amsterdam looks at the evolution of online discourse amongst teenagers over the last couple of decades. As they delve into how the saturation of Internet access and the emergence of online social networks has encouraged teens to add an online element to their existing face-to-face [...]]]></description>
			<content:encoded><![CDATA[<p>A recent <a href="http://www.physorg.com/news155323364.html">study</a> by two psychologists from the University of Amsterdam looks at the evolution of online discourse amongst teenagers over the last couple of decades. As they delve into how the saturation of Internet access and the emergence of online social networks has encouraged teens to add an online element to their existing face-to-face relationships, they discuss the nature of these interactions:</p>
<p><span id="more-224"></span></p>
<blockquote><p>Valkenburg and Peter believe that the 21st century Internet encourages honest talking about very personal issues &#8211; feelings, worries, vulnerabilities &#8211; that are difficult for many self-conscious teens to talk about. When they communicate through the Internet, they have fewer sounds and sights and social cues to distract them, so they become less concerned with how others perceive them. This in turn reduces inhibition, leading to unusually intimate talk.</p>
<p>The psychologists have also shown that &#8220;hyperpersonal&#8221; Internet talk leads to higher quality friendships, and that these quality friendships buffer teenagers against stress and lead to greater happiness. However, solitary &#8220;surfing&#8221; of the Internet has no positive effects on connectedness or well-being, and hanging around public chat rooms &#8211; though much rarer &#8211; still appears psychologically risky.</p></blockquote>
<div>They&#8217;re describing what&#8217;s often been called the &#8220;online disinhibition effect,&#8221; and it&#8217;s not limited to teens. For many people, interacting online leads us to disclose and to share more intimately and with less self-censoring than in face-to-face communication. And for some folks in some situations, this can be a great thing. In other scenarios, it can lead to putting emotional trust in someone who might, it turns out, not really be trustworthy. I do question the reference at the end of the quote to &#8220;solitary surfing&#8221; &#8212; what do they mean by &#8220;solitary?&#8221; Nonetheless, it&#8217;s useful to reflect on our online relationships and take stock: Is it true for me? Do I tend to be more open in online interactions than in face-to-face ones? If so, does this always happen for me? Or only in some situations?</p>
<p>Online disinhibition isn&#8217;t inherently good or bad; it&#8217;s all about context and the particulars of the relationship. If you find that you are less inhibited in online interactions, are you able to tell when this openness has a good result versus when, upon reflection, you might have overshared? This type of social judgment &#8212; when and how much to reveal, based on the other person(s) and the situation &#8212; is crucial in all relationships, no less online than in face-to-face interactions.</p></div>
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		<title>Time Online: How Much Is Too Much?</title>
		<link>http://www.sfcounseling.net/2010/01/31/time-online-how-much-is-too-much/</link>
		<comments>http://www.sfcounseling.net/2010/01/31/time-online-how-much-is-too-much/#comments</comments>
		<pubDate>Sun, 31 Jan 2010 20:23:37 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Internet addiction]]></category>
		<category><![CDATA[Mental Health]]></category>
		<category><![CDATA[Online culture]]></category>
		<category><![CDATA[excessive online]]></category>

		<guid isPermaLink="false">http://www.sfcounseling.net/blog/?p=199</guid>
		<description><![CDATA[There&#8217;s a new survey released by Rasmussen Reports &#8212; most commonly known for their political polling &#8212; that describes peoples&#8217; perceptions of online use. The bottom-line statistic is that 23% of adults surveyed believe that they spend too much time online. Drill down the numbers, and it gets more interesting. Seventy-one percent (71%) disagree and [...]]]></description>
			<content:encoded><![CDATA[<p>There&#8217;s a new <a href="http://www.rasmussenreports.com/public_content/lifestyle/general_lifestyle/january_2010/23_say_they_spend_too_much_time_online">survey</a> released by Rasmussen Reports &#8212; most commonly known for their political polling &#8212; that describes peoples&#8217; perceptions of online use. The bottom-line statistic is that 23% of adults surveyed believe that they spend too much time online. Drill down the numbers, and it gets more interesting.</p>
<p><span id="more-199"></span></p>
<blockquote><p>Seventy-one percent (71%) disagree and believe the amount of time they spend this way is appropriate.</p>
<p>Seventy-five percent (75%), however, believe young children spend too much time on computers and other electronic equipment.</p>
<div>
<div>
<p>[...]</p>
<p>Adults ages 18 to 29 are much more closely divided on the question of personal use than those in any other age group: 44% say they spend too much time online and using mobile devices, while 51% say they do not. But 80%-plus of those 50 and older don’t think they spend too much time like this.</p>
<div>
<div>
<div>
<div>Non-married adults worry more than those who are married that they’re spending too much time this way.</div>
</div>
</div>
</div>
</div>
</div>
</blockquote>
<div>
<p>Here, of course, is the question behind the question: how much is too much? Everyone is going to answer this question differently, leading us to the increasingly common tendency in our culture to describe excessive Internet use through the model of addiction.</p>
<p>And here&#8217;s where I&#8217;d like to encourage you to think a little differently, because it can be easy, following an &#8220;addiction&#8221; mindset, to go down the following paths:</p>
</div>
<blockquote><p>&#8220;I didn&#8217;t think I had a Problem at all&#8230;. until I hit some sort of wall and realized that I do have a Problem.&#8221;<br />
&#8220;I am ready to say that yes, I am an Internet Addict.&#8221;<br />
&#8220;I thought my Internet use was Harmless, but now I see that it is Harmful.&#8221;<br />
&#8220;I admit that I am powerless over my Internet addiction.&#8221;</p></blockquote>
<p>The problem with these principles is that they&#8217;re all-or-nothing. You either are an Addict or you&#8217;re not &#8212; completely. The Internet is either a completely positive presence in your life, or a thoroughly harmful one. And if you decide, given the evidence of harm, that the Internet is a Bad Thing in your life, does this imply that total abstinence is the one and only answer?</p>
<p>I would say no.</p>
<p>A much more realistic way to assess this (or, really, any) element of your life is to recognize that it&#8217;s a mixed bag, with both positive and negative elements. Here&#8217;s an example of how one person might evaluate the pluses and minuses:</p>
<blockquote><p>&#8220;Spending a lot of time online is a lot of fun, feeds my curiosity, puts me in touch with distant friends, and sometimes calms my nerves or gives me a comforting escape. On the other hand, it can result in losing sleep when I stay up surfing or chatting at all hours, I find myself neglecting important offline tasks that need doing, and I&#8217;m preoccupying myself online lately to keep from feeling some sad things I&#8217;m going through in my life right now.&#8221;</p></blockquote>
<p>Your own experiences and values might match the above example, or not. What&#8217;s important here is that you judge your time online not by an arbitrary number of hours, or by some theoretical principle of how much is &#8220;too much,&#8221; but by the actual effects on your life, both positive and negative.</p>
<p>There&#8217;s much more to say here, and I do this sort of work with clients around these types of concerns, but let me leave you with this question: if you determine that the negative effects of excessive online time are serious enough that you want to make a change, are there practical ways for you to reduce the harm while keeping the benefit?</p>
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		<title>Twitter changes the question. Have you changed your answer?</title>
		<link>http://www.sfcounseling.net/2009/12/06/twitter-changes-the-question-have-you-changed-what-its-for/</link>
		<comments>http://www.sfcounseling.net/2009/12/06/twitter-changes-the-question-have-you-changed-what-its-for/#comments</comments>
		<pubDate>Sun, 06 Dec 2009 17:51:21 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Social Networking]]></category>
		<category><![CDATA[Twitter]]></category>

		<guid isPermaLink="false">http://www.sfcounseling.net/blog/?p=193</guid>
		<description><![CDATA[The Twitter blog explains their thinking behind changing the foundational question from &#8220;What are you doing?&#8221; to &#8220;What&#8217;s happening?&#8221; The fundamentally open model of Twitter created a new kind of information network and it has long outgrown the concept of personal status updates. Twitter helps you share and discover what&#8217;s happening now among all the [...]]]></description>
			<content:encoded><![CDATA[<p>The Twitter blog <a href="http://blog.twitter.com/2009/11/whats-happening.html">explains</a> their thinking behind changing the foundational question from &#8220;What are you doing?&#8221; to &#8220;What&#8217;s happening?&#8221;</p>
<blockquote><p>The fundamentally open model of Twitter created a new kind of information network and it has long outgrown the concept of personal status updates. Twitter helps you share and discover what&#8217;s happening now among all the things, people, and events you care about. &#8220;What are you doing?&#8221; isn&#8217;t the right question anymore—starting today, we&#8217;ve shortened it by two characters. Twitter now asks, &#8220;What&#8217;s happening?&#8221;</p></blockquote>
<p>If you&#8217;re a tweeter, have you used Twitter solely to express your personal status throughout the day, or is Twitter for you more of a give-and-take about what&#8217;s on your mind and on the minds of those who reply and retweet? It&#8217;s a very different social experience depending on which approach you take.</p>
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		<title>Cyberchondria: An Example of Misplaced Focus</title>
		<link>http://www.sfcounseling.net/2009/11/13/cyberchondria-an-example-of-misplaced-focus/</link>
		<comments>http://www.sfcounseling.net/2009/11/13/cyberchondria-an-example-of-misplaced-focus/#comments</comments>
		<pubDate>Fri, 13 Nov 2009 19:22:29 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Mental Health]]></category>
		<category><![CDATA[Online culture]]></category>
		<category><![CDATA[anxiety]]></category>

		<guid isPermaLink="false">http://www.sfcounseling.net/blog/?p=182</guid>
		<description><![CDATA[Among the daily multitude of news coverage discussing the psychological and social impacts of the Internet comes an article describing &#8220;cyberchondria&#8220;: But what really ails me? Cyberchondria, loosely defined as the baseless fueling of fears and anxiety about common health symptoms due to Internet research, or, as I like to think of it, Googling oneself [...]]]></description>
			<content:encoded><![CDATA[<p>Among the daily multitude of news coverage discussing the psychological and social impacts of the Internet comes an article describing &#8220;<a href="http://www.washingtonpost.com/wp-dyn/content/article/2009/11/06/AR2009110603473.html">cyberchondria</a>&#8220;:</p>
<blockquote><p>But what really ails me? Cyberchondria, loosely defined as the baseless fueling of fears and anxiety about common health symptoms due to Internet research, or, as I like to think of it, Googling oneself into a state of absolute, clinical hysteria over every last pain, itch and strange freckle on your body.</p></blockquote>
<p>It&#8217;s easy to lose our bearings on a phenomenon like this and blame the Internet itself as the new social hazard that gives rise to this condition. It&#8217;s even in the language used here: <em>cyberchondria</em> as a diagnosis, and <em>web searches</em> as the cause. But actually (and the article does acknowledge, if not fully explore, this point), what we&#8217;re seeing here is an anxiety problem that isn&#8217;t created online — it just expresses itself there. People have had excessive worry and imagined catastrophic outcomes from mild symptoms for centuries — they just got their medical information elsewhere, until very recently.</p>
<p>If a person is having excessive anxiety about nightmarish health scenarios whenever a cough or itch starts, then it&#8217;s the obsessive thoughts and the compulsions to act on them that we should be examining and working to relieve. The Internet is just the arena in which those obsessions or compulsions play out. Google and WebMD do make it a lot easier and faster to act upon an impulse than, say, traveling to a medical school library — but it&#8217;s a mistake to conclude that a person is developing health-related anxieties <em>because</em> so much unfiltered medical information is now available online.</p>
<p>The good news is that with skilled counseling, these types of problems are treatable. And so I say again: &#8220;Don&#8217;t blame the Internet!&#8221;</p>
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		<title>Online relationships and the epistolary tradition</title>
		<link>http://www.sfcounseling.net/2009/10/19/online-relationships-and-the-epistolary-tradition/</link>
		<comments>http://www.sfcounseling.net/2009/10/19/online-relationships-and-the-epistolary-tradition/#comments</comments>
		<pubDate>Mon, 19 Oct 2009 21:28:06 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Email Communication]]></category>
		<category><![CDATA[General Online Communication]]></category>
		<category><![CDATA[Online Dating/Romance]]></category>
		<category><![CDATA[Reading List]]></category>

		<guid isPermaLink="false">http://www.sfcounseling.net/blog/?p=153</guid>
		<description><![CDATA[email correspondence]]></description>
			<content:encoded><![CDATA[<p>We&#8217;ve seen the raised eyebrow that greets us when we talk about a relationship that is conducted online, with a person whom we rarely or never meet face-to-face. And we&#8217;re all familiar with the part that folks sometimes have trouble accepting: that you can have a healthy, substantive and fulfilling relationship with someone purely through the exchange of text-based messages.* Mixed into that skepticism, I think, is also a sense that an online relationship is faddish. Newfangled. A new manifestation of technology for its own sake. Bound to fail or inherently misguided because it&#8217;s contrary to the way people have always naturally talked to each other.</p>
<p>It&#8217;s not any of those things.</p>
<p><span id="more-153"></span></p>
<p>At earlier times in human history, when travel to neighboring communities was expensive or dangerous and travel to distant lands all but impossible for the average citizen, letter-writing reigned as the essential medium for carrying on a relationship with a trusted friend, family member, business associate or romantic partner in a far-off place. Written correspondence became so central to everyday life that a rich literary genre rose up around it: the <a href="http://en.wikipedia.org/wiki/Epistolary_novel">epistolary novel</a>, structured entirely around the exchange of letters. Letter-writing has served as a central part of family and business life until very, very recently (historically speaking), when the invention of the telegraph and then of the telephone gave us other options.</p>
<p>(<a href="http://www.ntu.ac.uk/apps/Profiles/57746-1-4/Dr_Monica_Whitty.aspx">Monica Whitty</a> writes about the tradition of romantic correspondence and how it might parallel online relationships in her fascinating article, &#8220;Love letters: The development of romantic relationships throughout the ages,&#8221; compiled in <a href="http://www.amazon.com/gp/product/019956180X?ie=UTF8&amp;tag=twtica-20&amp;linkCode=as2&amp;camp=1789&amp;creative=390957&amp;creativeASIN=019956180X">The Oxford Handbook of Internet Psychology</a><img style="border:none !important; margin:0px !important;" src="http://www.assoc-amazon.com/e/ir?t=twtica-20&amp;l=as2&amp;o=1&amp;a=019956180X" border="0" alt="" width="1" height="1" />.)</p>
<p>When correspondence was the only tool we had for talking to those who couldn&#8217;t be there with us, we cherished the letter and nurtured our skill in expressing ourselves with the written word. Now we have a technology that welcomes us back into the epistolary tradition, giving us a new means of overcoming a geographical barrier to form an intimate bond. Is a relationship conducted via email or chat different in some basic ways than a face-to-face relationship? Sure &#8212; and helping folks understand how the medium might be influencing the message is part of my work as a therapist specializing in online issues. But when the validity of your online relationship is challenged, take heart. Hundreds of years of human history say you&#8217;re in good company.</p>
<blockquote><p>A letter always seemed to me like immortality because it is the mind alone without corporeal friend.<br />
~Emily Dickinson</p></blockquote>
<p><em>* The advent of Skype, as broadband connectivity becomes increasingly affordable, offers an online communication medium that includes visual and sound cues, but I&#8217;ll focus on text-based correspondence for the purposes of this post.</em></p>
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